| Miami Valley Primary Care | |
|
51 E Stewart St Dayton OH 45409-2624 | |
| (937) 208-9010 | |
| (937) 208-9020 |
| Full Name | Miami Valley Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 51 E Stewart St, Dayton, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Primary Care 51 E Stewart St Dayton OH 45409-2624 Ph: (937) 208-9010 | Miami Valley Primary Care 51 E Stewart St Dayton OH 45409-2624 Ph: (937) 208-9010 |
| NPI Number | 1285687244 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285687244 | NPI | - | NPPES |
| 2364034 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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